The Centers for Medicare and Medicaid Services (CMS) on Thursday, November 2 released a final rule with comment period for its Quality Payment Program (QPP), along with its 2018 physician fee schedule rule.

The QPP regulation did not diverge much from the proposed rule released last June. The biggest innovation is that in 2018 the cost of care will form 10% of the score of eligible clinicians participating in the QPP’s Merit-based Incentive Payment System (MIPS). For 2017, MIPS’s “transition year,” cost was weighted at 0% of the score.